To Study and Compare the Clinical Course and Development of Organ Failure in Severe Acute Hepatitis Without Ascites, Non-cirrhotic and Cirrhotic Patients With Ascites [Acute on Chronic Liver Failure] and Acute Deterioration of Previously Decompensated Cirrhosis.

Inclusion Criteria: * All consecutive patients presenting to hospital with bilirubin ≥5 and INR≥1.5 * Cirrhosis with or without Decompensation presenting with acute deterioration in less than 3 month Exclusion Criteria: * Cirrhosis with chronic decompensation. * Patient on anticoagulant * Hepatocellular carcinoma * Septic shock * Post-liver transplant or resection